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Nutrients 2018, 10(11), 1676;

Complementary Feeding Practices for South Asian Young Children Living in High-Income Countries: A Systematic Review

UCL Institute of Epidemiology & Health Care, 1-19 Torrington Place, London WC1E 6BT, UK
Population Child Health Research Group, School of Women’s and Children’s Health, University of New South Wales, Sydney 2031, Australia
GKT School of Medical Education, Guy’s Campus, London SE1 1UL, UK
Royal Surrey County Hospital, Egerton Road, Guildford GU2 7XX, UK
Population, Policy & Practice, UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK
Author to whom correspondence should be addressed.
Received: 28 September 2018 / Revised: 25 October 2018 / Accepted: 3 November 2018 / Published: 5 November 2018
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Sub-optimal nutrition among South Asian (SA) children living in high-income countries is a significant problem. High rates of obesity have been observed in this population, and differential complementary feeding practices (CFP) have been highlighted as a key influence. Our aim was to undertake a systematic review of studies assessing CFP in children under two years of age from SA communities living in high-income countries, including dietary diversity, timing, frequency and promotors/barriers. Searches covered January 1990–July 2018 using MEDLINE, EMBASE, Global Health, Web of Science, BanglaJOL, OVID Maternity and Infant Care, CINAHL, Cochrane Library, POPLINE and World Health Organisation (WHO) Global Health Library. Eligible studies were primary research on CFP in SA children aged 0–2 years. Search terms were “children”, “feeding” and “South Asian”, and derivatives. Quality appraisal used the Evidence for Policy and Practice Information (EPPI) Weight of Evidence scoring. From 50,713 studies, 13 were extracted with ten from the UK, and one each from the USA, Canada and Singapore. Sub-optimal CFP were found in all studies. All ten studies investigating timing reported complementary feeding (CF) being commenced before six months. Promoters/barriers influencing CFP included income, lack of knowledge, and incorrect advice. This is the first systematic review to evaluate CFP in SA children living in high-income countries and these findings should inform the development of effective interventions for SA infants in these settings. View Full-Text
Keywords: infant; diet; child; nutrition; complementary feeding; high-income countries infant; diet; child; nutrition; complementary feeding; high-income countries

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Manikam, L.; Lingam, R.; Lever, I.; Alexander, E.C.; Amadi, C.; Milner, Y.; Shafi, T.; Stephenson, L.; Ahmed, S.; Lakhanpaul, M. Complementary Feeding Practices for South Asian Young Children Living in High-Income Countries: A Systematic Review. Nutrients 2018, 10, 1676.

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